Per Diem Registered Nurse

Fresenius Medical Care•Silver Spring, MD

About The Position

The Registered Nurse provides direct nursing care before, during, and after procedures under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse. The role supports the organization’s mission, vision, values, compliance program, customer service philosophy, and applicable regulatory and facility requirements. The nurse assists physicians in achieving optimal patient outcomes while following facility policies and procedures. The position supports quality improvement and regulatory compliance, maintains accurate medical and operational records, and helps ensure a safe clinical environment. It involves patient assessment, education, monitoring, medication and IV sedation administration, emergency response, procedural assistance, point-of-care testing, and coordination with physicians and facility staff. The nurse also contributes to facility operations, including equipment checks, inventory and medication management, documentation, audits, meetings, training, and other assigned projects. The work includes desk and computer tasks as well as direct patient care in a healthcare facility. It involves frequent prolonged standing and bending, and regularly includes heavy lifting or moving patients and assisting with ambulation. With assistance, the employee may occasionally move patients and equipment weighing up to 200 pounds. The environment has controlled air temperature and moderate noise and may involve exposure to infectious or contagious materials and radiation, as well as wearing protective gear in procedure rooms for extended periods.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; BLS and ACLS course certifications successfully completed.
Proficient in IV insertion.
Proficient in cardiac rhythm recognition.
Proficient in computers and related software, such as Microsoft Office.
Experience with medical database software.
Able to perform essential physical functions, including frequent prolonged standing and bending and regular heavy lifting or moving of patients and assistance with ambulation; may occasionally move patients and equipment weighing up to 200 pounds with assistance.
Able to work in a healthcare environment that may include exposure to infectious or contagious materials and radiation and wearing protective gear in procedure rooms for extended periods.

Nice To Haves

Associate’s degree in nursing is desirable; a bachelor’s degree is strongly preferred.
Four to six years of related experience preferred.
Experience in an Office Based Surgical Center, Ambulatory Surgical Center, Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology, and ICU/CCU or emergency department settings.

Responsibilities

Support organization quality standards, regulatory and accreditation requirements, and Continuous Quality Improvement (CQI) activities, including use of CQI tools and facility action plans.
Provide direct nursing care before, during, and after procedures, following facility policies and physician orders.
Obtain medical histories, perform nursing assessments, discuss procedures, answer questions, and educate patients and families about post-procedure vascular access care.
Monitor patients before, during, and after procedures, including for complications or reactions related to moderate sedation and contrast media.
Address patient concerns and communicate patient-related issues to facility management as needed.
Complete accurate patient documentation from admission through discharge; confirm orders, consents, and laboratory work are completed and documented.
Prepare laboratory requisitions, deliver them to appropriate laboratories, and report and forward results to physicians as required.
Maintain competency in emergency procedures and initiate CPR and other emergency measures as needed.
Administer medications and IV moderate sedation as ordered and in compliance with applicable regulations.
Assist physicians as a scrub technologist when needed while maintaining sterile technique; transport patients as needed.
Perform point-of-care laboratory testing and IV insertion as ordered, and perform other tasks designated by the physician in accordance with state regulations.
Communicate with physicians as needed, participate in CQI meetings, and assist with physician and staff coordination regarding instruments and equipment.
Assist with adverse-event reporting, including state-required and internal reports.
Operate facility equipment and technology safely; inspect equipment and operating systems, report malfunctions or maintenance needs, and help maintain a clean, safe, and sanitary facility.
Address blood spills in accordance with bloodborne pathogen control policies.
Support efficient use and inventory of medications, laboratory supplies, equipment, and other supplies; check medication expiration dates and document controlled substances, medication use, and drug disposal as required.
Examine and restock emergency equipment and supplies, including the crash cart.
Complete medical records before patient discharge and perform chart audits regularly.
Assist with regulatory and accreditation surveys and action plans; complete required records for implanted devices accurately and on time.
Participate in staff meetings, training, and orientation as assigned; comply with HIPAA policies and standards; assist with projects and other assigned duties.